For World Wide Web Publishing of Student Picture or Likeness Name of Student ____________________________________ School ________________ Name of Parent ___________________ We understand than our son or daughter’s picture with the following caption may be published on a web page. The caption will only contain the first name of our child. No home address or phone number will appear with the picture. The picture will appear with a copyright notice prohibiting the copying of such work without express written permission. In the event anyone requests such permission, those requests will be forwarded to us as parents. We grant permission for the World Wide Web publishing as described above. A copy of all such publishing will be printed out and brought home for us to see. We will sign and return this form.
Name _________________________________ Date ________________ Name _________________________________ Date ________________
I, the student, also give my permission for such publishing. Name _________________________________ Date ________________ ------------------------------------------------------------------------ Permission is granted to copy and use this form. |
